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FROM :CALIFORNIA WATER SERVICE FAX NO. :2094640195 Apr. 01 2098 09:4GAM P 2 <br /> APPLZCATx01; POR E l'CRO.L�C x pp m ' <br /> P�c$ASE PiQTI�j,+1 . <br /> Date m <br /> • as�rc� asp ony <br /> To: S= Joa gvin County a08 �• <br /> Department of Public %low up <br /> ax <br /> v"Im z4 .0P To -D <br /> (APPLita nt Name) STa�SE�' s L , �"'-„• DRXVMTB Z <br /> AISSOV . ` <br /> (Nailing 'Y'YPs �Ila z6 -'�-�- <br /> .J��l1�V� <br /> NATE <br /> (City, State, .zip Code) ; <br /> (Areat Code » Telepltoae Iffier), <br /> Sketch (Detailed plass taay be Subniitte8) , <br /> The undwsigaed hQreby,app7ateg for pexmists�ioa to.excavate, cogstxuct sad/ox <br /> oth�wise-emcroacbL.0= Co=by, 8igharaty Right-oi'»giakyo$. a .Nd .� <br /> STDL !�V r . . . egdp.a „. . <br /> of MNN\1�1E.. f�V approx�tnrattely 32.4 rude Ntsr .._^ <br /> - , by ver€ormi.ng the <br /> following work (desariptioa, of ar <br /> — .»4} <br /> �,oaa ' <br /> work will CommeaCe ort or'aboutLen days., $ for approximately <br /> x, the rmdersigned Certify Mat I aM the owaer of the respective property, or <br /> am <br /> qualified to represent the ower and agree to da the work descried above in <br /> accoxda c"3 with the rulest Z&VIations'of Saga. Tbaqu�n Conary and mubJfect to <br /> inspection and approval. (1615- a10-INS ' <br /> �.t�1�ACl�A1 - O 031110 <br /> S3sraaturo o$ APPliC=t - Title Date <br />